• Do you know the financial performance of your provider contracts?
• Are claims expenses on budget?
• What services cost much more than anticipated?

Your provider network is the cornerstone of your health plan’s product portfolio yet many payers are unable to determine the financial outcome of their provider contracts. Even more frightening, under-performing contracts are often renewed without understanding the magnitude of the problems. Are you willing to take the financial risk and continue to negotiate without knowing the key performance measures?

MedeFinance’s Contract Performance Analytics give you the answers you need before renewing your provider contracts. The on-demand analytic application allows payer organizations to compare contract payables with expected reimbursement at any point. The portfolio can be viewed across a variety of dimensions such as provider, service, variance and cost tiers.

Personalized and delivered to your desktop, you can drill from KPIs to the root cause behind performance shortfalls and successes with just a few clicks.

Visibility into Actual vs. Target Objectives

Let Data and Knowledge Improve Contract Management
Arm yourself with broad and deep data you can “slice and dice” however you need to prepare more effectively for contract negotiations and manage provider relationships. Use that intelligence to increase transparency and trust in paying for healthcare. Contract

Performance Analytics enables you to:

• Quickly aggregate financial performance by provider, with supporting detail viewable
  by location, reimbursement method, service, payment variances and many other
  factors
  
• Renegotiate or restructure underperforming contracts by comparing charges and
  service utilization trends relative to contract accuracy
  
• Respond rapidly to hot issues by quickly developing custom views to meet the specific